Punzi Ernesto, Porcaro Piercarmine, Flora Emanuele, Izzo Andrea, Amodeo Enrico Maria, Lombardi Giulio
Department of Radiology, "St. Giuseppe Moscati" Hospital of National Relevance and High Specialty, Avellino, Italy.
Department of Precision Medicine, University of Campania "L. Vanvitelli", Caserta, Italy.
Radiol Case Rep. 2024 Aug 27;19(11):5294-5298. doi: 10.1016/j.radcr.2024.07.180. eCollection 2024 Nov.
Sarcomas present challenges in management due to their aggressive nature. Interventional radiology, utilizing ablation and embolization, offer promising alternatives for recurrent cases. In recent years, combined techniques (ablation + embolization) and the use of balloon-microcatheter have been introduced to enhance the necrotic effect in HCC treatment. This paper presents the case of a 47-year-old female with recurrent abdominal sarcoma treated with balloon-occluded microwave ablation (b-MWA) and balloon-occluded transarterial embolization (b-TAE). Post-treatment imaging revealed a significant reduction in lesion size and absence of pathological contrast enhancement. This study highlights the potential of balloon-catheter-assisted combined therapies (b-MWA + b-TAE) in managing sarcomas, expanding the applicability of interventional radiology for inoperable cases that are too large for ablative therapy alone or requiring multiple antennas. Further research is warranted to refine protocols and enhance patient outcomes in sarcoma management.
肉瘤因其侵袭性本质，在治疗管理方面存在挑战。介入放射学通过消融和栓塞技术，为复发病例提供了有前景的替代方案。近年来，联合技术（消融+栓塞）以及球囊微导管的使用已被引入，以增强肝癌治疗中的坏死效果。本文介绍了一例47岁复发性腹部肉瘤女性患者，接受球囊闭塞微波消融（b-MWA）和球囊闭塞经动脉栓塞（b-TAE）治疗的病例。治疗后的影像学检查显示病变大小显著减小，且无病理性对比增强。本研究强调了球囊导管辅助联合治疗（b-MWA+b-TAE）在肉瘤治疗中的潜力，扩大了介入放射学在因太大而无法单独进行消融治疗或需要多根天线的不可手术病例中的适用性。有必要进行进一步研究以完善方案并改善肉瘤治疗中的患者预后。
